Individual provider Active NPI

Griffin Kelly

  • Clinical Social Worker
  • Coralville, IA
National Provider Identifier
1205482932
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095431 Issued in IA
Practice address
2240 9TH St
Coralville, IA 52241-1575
Phone
(319) 800-5564
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095431 IA Primary

Addresses

Primary practice location

2240 9TH St
Coralville, IA 52241-1575

Mailing address

2240 9TH St
Coralville, IA 52241-1575
Phone (319) 800-5564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326000820 IA Practitioner - Clinical Social Worker 1850876095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

2240 9TH St
Suite 4
Coralville, IA 52241-1507
Phone (319) 800-5564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095431IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Green Counseling Services PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

2240 9th St
Ste 4
Coralville, IA 52241

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1205482932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRIFFIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.